The ACA’s Innovation Waiver Program: A State-by-State Look

May 31, 2018

Under the Affordable Care Act (ACA), states can pursue “innovation waivers,” sometimes known as 1332 waivers, as of 2017. These waivers allow states to modify key parts of the law, so long as they stay true to its goals and consumer protections. The ACA makes clear a waiver can’t be granted unless coverage under the waiver is at least as 1) comprehensive and 2) affordable as without it, 3) covers a comparable number of residents, and 4) does not add to the federal deficit.

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The mission of The Commonwealth Fund is to promote a high-performing health care system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including low-income people, the uninsured, minority Americans, young children, and elderly adults.